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CERTIFICATE~ F DEATH 954 2~~~~
REGISTRATION REGiSTRAR'S
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77~• BCRIAL, C A• b. DATE tk. XAME OF CEMETF1tY OR CA~ORY ZJd. I.OCATION (Cn~, ta~i, ar ew~~t~) ( ~
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°""L'~'°°~'~~ 10. 1959~ ..~'lmrrood t Charlotte, 1~.C. .
D iY AN NIiB~tAL pIII~CTOB ADDRE~3
rry e~d Bryant Co. C~a:3otte. N.C•
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